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Geneva College 
STUDENT HEALTH INSURANCE PLAN

Annual Waiver Form
2024-2025 Academic Year

Students are required to have comprehensive health insurance while attending Geneva College. If you have other insurance and wish to waive the Geneva College Student Health Insurance Plan, you must document your other coverage each academic year. 

Your student ID number is 7 digits and does not include any leading zeros. 

TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Asterisk (*) denotes required field

 (MM/DD/YYYY)